MEDICARE: DR. GARY THOMAS GABOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	ME 37102	FL
2	207R00000X	Internal Medicine Physician	ME37102	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00629536	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437132586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY THOMAS GABOR MD

Provider Business Mailing Address
First Line	:	PO BOX 746638
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6638
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	1660 PRUDENTIAL DR
Second Line	:	SUITE 310
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8197
Country	:	US
Telephone Number	:	904-396-8656
Fax Number	:	904-390-7488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	11/19/2024

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Directions to “ DR. GARY THOMAS GABOR MD” Practice Location

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